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Rugta dhabarka ee lafdhabarta. Kani waa nooc ka mid ah daawayn kale oo diiradda saaraya ogaanshaha iyo daaweynta dhaawacyada iyo xaaladaha kala duwan ee muruqyada, gaar ahaan kuwa la xidhiidha laf dhabarta. Dr. Alex Jimenez wuxuu ka hadlayaa sida isbeddelka laf-dhabarka iyo manfacyada buug-gacmeedka si joogto ah ay si weyn u caawin karaan labadaba hagaajinta iyo baabi'inta calaamado badan oo keeni kara raaxo la'aan shakhsi ahaaneed. Dhakhaatiirta lafdhabarta ayaa aaminsan in sababaha ugu muhiimsan ee xanuunka iyo xanuunka ay yihiin is-waafajinta laf-dhabarka ee laf-dhabarka (tani waxaa loo yaqaan 'chiropractic subluxation').

Iyada oo la adeegsanayo ogaanshaha buug-gacmeedka (ama palpation), si taxadar leh loo mariyo cadaadiska, duugista, iyo manfaca gacanta ee laf dhabarta iyo kala-goysyada (oo loo yaqaan hagaajinta), lafopractors waxay yareyn kartaa cadaadiska iyo xanaaqa neerfaha, dib u soo celinta dhaqdhaqaaqa wadajirka ah, iyo caawinta soo celinta homeostasis jirka . Laga soo bilaabo subluxations, ama isfaham la'aanta laf-dhabarka, ilaa sciatica, calaamado calaamado ah oo ay weheliyaan neerfaha sciatica ee ay keento dareemaha dareemaha, daryeelka xanuunka loo yaqaan 'chiropractic care' ayaa si tartiib tartiib ah u soo celin kara xaaladda dabiiciga ah ee shakhsi ahaaneed. Dr. Jimenez wuxuu soo ururiyaa koox fikrado ah oo ku saabsan xanuunka loo yaqaan 'chiropractic' si uu ugu fiican u baro shakhsiyaadka dhaawacyada kala duwan iyo xaaladaha saameeya jidhka bini'aadamka.


The Effects Of Traction Therapy & Decompression For Herniated Disc

The Effects Of Traction Therapy & Decompression For Herniated Disc

Can individuals with herniated discs find the relief they are looking for from traction therapy or decompression to provide pain relief?

Hordhac

The spine allows the individual to be mobile and flexible without feeling pain and discomfort when a person is on the move. This is because the spine is part of the musculoskeletal system that consists of muscles, tendons, ligaments, the spinal cord, and spinal discs. These components surround the spine and have three regions to allow the upper and lower extremities to do their jobs. However, the spine also ages when the body starts to age naturally. Many movements or routine actions can cause the body to be stiff and, over time, can cause the spinal disc to herniate. When this happens, a herniated disc can lead to pain and discomfort in the extremities, thus making individuals deal with a reduced quality of life and pain in three spinal regions. Luckily, there are numerous treatments, like traction therapy and decompression, to alleviate the pain and discomfort associated with herniated discs. Today’s article looks at why herniated discs cause issues in the spine and the effects of how these two treatments can help reduce herniated discs. We talk with certified medical providers who consolidate our patients’ information to assess how a herniated disc in the spine may be the issue causing musculoskeletal pain. We also inform and guide patients on how integrating spinal decompression and traction therapy can help realign the spine and reduce disc herniation that is causing spinal issues. We encourage our patients to ask their associated medical providers intricate and important questions about incorporating non-surgical treatments as part of their routine to reduce pain and discomfort in their bodies. Dr. Jimenez, D.C., includes this information as an academic service. Afeef.

 

Why Herniated Discs Causes Issues In The Spine?

Have you been experiencing constant discomfort in your neck or back that doesn’t allow you to relax? Do you feel tingling sensations in your upper and lower extremities, making grasping objects or walking difficult? Or have you noticed that you are hunching over from your desk or standing and that stretching causes pain? As the spine keeps the body upright, its main components include the moveable vertebrae, the nerve root fibers, and spinal discs to help send neuron signals to the brain to allow movement, cushion the shocked forces on the spine, and be flexible. The spine allows the individual to perform various tasks without pain and discomfort through repetitive movements. However, when the body ages, it can lead to degenerative changes in the spine, causing the spinal disc to herniate over time. A herniated disc is a common degenerative musculoskeletal condition that causes the nucleus pulposus to break through any weak region of the annulus fibrosus and compress the surrounding nerve roots. (Ge et al., 2019) Other times, when repetitive motions start to cause a developing herniated disc, the inner portion of the disc can become desiccated and brittle. In contrast, the outer portion becomes more fibrotic and less elastic, causing the disc to shrink and be narrow. A herniated disc can affect young and old populations as they can have a multifactorial contribution that causes proinflammatory changes to the body. (Wu et al., 2020

 

 

When many people are dealing with pain associated with a herniated disc, the disc itself goes through morphological change through the characterization of the disc being partial damage, which is then followed by the displacement and herniation of the inner disc portion in the vertebral canal to compress the spinal nerve roots. (Diaconu et al., 2021) This causes symptoms of pain, numbness, and weakness in the upper and lower body portions through nerve impingement. Hence why, many individuals are dealing with referred pain symptoms from their arms and legs that are radiating pain. When nerve compression associated with herniated discs starts to cause pain and discomfort, many individuals begin to seek out treatment to reduce the pain that the herniated disc is causing to provide relief for their bodies.

 


Spinal Decompression In Depth-Video


The Effects Of Traction Therapy In Reducing Herniated Disc

Many people who are suffering from pain that is being affected by herniated discs in their spines can seek out treatments like traction therapy to alleviate pain. Traction therapy is a non-surgical treatment that stretches and mobilizes the spine. Traction therapy can be mechanically or manually done by a pain specialist or with the help of mechanical devices. The effects of traction therapy can reduce the compression force on the spinal disc while reducing nerve root compression by expanding the disc height within the spine. (Wang et al., 2022) This allows the surrounding joints within the spine to be mobile and positively affect the spine. With traction therapy, intermittent or steady tension forces help stretch the spine, reduce pain, and improve functional outcomes. (Kuligowski iyo al., 2021

 

The Effects Of Spinal Decompression In Reducing Herniated Disc

Another form of non-surgical treatment is spinal decompression, a sophisticated version of traction that uses computerized technology to help apply controlled, gentle pulling forces to the spine. Spinal decompression does is that it can help decompress the spinal canal and help pull the herniated disc back to its original position while stabilizing the spine and keeping the vital bones and soft tissues safe. (Zhang et al., 2022) Additionally, spinal decompression can create negative pressure on the spine to allow the flow of nutritional fluids and blood oxygen back to the discs while creating an inverse relationship when tension pressure is introduced. (Ramos & Martin, 1994) Both spinal decompression and traction therapy can offer many therapeutic pathways to provide relief to many individuals dealing with herniated discs. Depending on how severe the herniated disc has caused issues to the person’s spine, many can rely on non-surgical treatments due to its customizable plan that is personalized to the person’s pain and can be combined with other therapies to strengthen the surrounding muscles. By doing so, many people can be pain-free over time while being mindful of their bodies. 

 


tixraacyada

Diaconu, G. S., Mihalache, C. G., Popescu, G., Man, G. M., Rusu, R. G., Toader, C., Ciucurel, C., Stocheci, C. M., Mitroi, G., & Georgescu, L. I. (2021). Clinical and pathological considerations in lumbar herniated disc associated with inflammatory lesions. Rom J Morphol Embryol, 62(4), 951-960. doi.org/10.47162/RJME.62.4.07

Ge, CY, Hao, DJ, Yan, L., Shan, LQ, Zhao, QP, He, BR, & Hui, H. (2019). Herniation Disc Intradural Lumbar: Warbixinta Kiis iyo Dib-u-eegis Suugaaneed. Clin Interv Aging, 14, 2295-2299. doi.org/10.2147/CIA.S228717

Kuligowski, T., Skrzek, A., & Cieslik, B. (2021). Daaweynta Buugga ee Radiculopathy afka ilmo-galeenka iyo Lumbar: Dib-u-eegis nidaamsan ee suugaanta. Int J Environ Res Caafimaadka Dadweynaha, 18(11). doi.org/10.3390/ijerph18116176

Ramos, G., & Martin, W. (1994). Saamaynta depression axial vertebral ee cadaadiska intradiscal. J neurosurg, 81(3), 350-353. doi.org/10.3171/jns.1994.81.3.0350

Wang, W., Long, F., Wu, X., Li, S., & Lin, J. (2022). Waxtarka Kiliinikada ee Jimicsiga Makaanikada sida Daawaynta Jirka ee Herniation Diska Lumbar: Falanqaynta Meta. Hababka Xisaabta ee Xisaabta Med, 2022, 5670303. doi.org/10.1155/2022/5670303

Wu, P. H., Kim, H. S., & Jang, I. T. (2020). Intervertebral Disc Diseases PART 2: A Review of the Current Diagnostic and Treatment Strategies for Intervertebral Disc Disease. Int J Mol Sci, 21(6). doi.org/10.3390/ijms21062135

Zhang, Y., Wei, F. L., Liu, Z. X., Zhou, C. P., Du, M. R., Quan, J., & Wang, Y. P. (2022). Comparison of posterior decompression techniques and conventional laminectomy for lumbar spinal stenosis. Hore ee Surg, 9, 997973. doi.org/10.3389/fsurg.2022.997973

 

Afeef

Doorka Daawaynta Decompression ee Soo celinta Dhererka Saxanka Laf-dhabarka

Doorka Daawaynta Decompression ee Soo celinta Dhererka Saxanka Laf-dhabarka

Shakhsiyaadka qaba xanuunka dhabarka ee luqunta iyo dhabarka miyay isticmaali karaan daaweynta depression si ay u soo celiyaan dhererka saxanka laf dhabarta oo ay u helaan gargaar?

Hordhac

Dad badan ma oga in marka jirku sii weynaado, laf dhabarta sidoo kale. Laf-dhabarta waa qayb ka mid ah nidaamka muruqyada kaas oo siiya taageero qaab-dhismeed jirka isagoo si toos ah u ilaalinaya. Muruqyada ku xeeran, seedaha, iyo unugyada ku xeeran laf dhabarta waxay caawiyaan xasiloonida iyo dhaqdhaqaaqa, halka saxanka laf-dhabarta iyo kala-goysyada ay bixiyaan nuugista naxdinta leh ee miisaanka toosan. Marka qofku uu ku socdo dhaqdhaqaaqiisa hawl maalmeedkiisa, laf-dhabarku waxay u oggolaan kartaa qofka inuu guuro iyada oo aan xanuun ama raaxo lahayn. Si kastaba ha noqotee, wakhtigu wuu dhaafaa, laf-dhabarta waxay ku socotaa isbeddello isdaba-joog ah oo keeni kara xanuun iyo raaxo la'aan jidhka, sidaas darteed qofka ka tagaya si uu ula tacaalo astaamaha khatarta ah ee is-dhaafsan ee saameyn kara qoorta iyo dhabarka. Halkaa marka ay marayso, dad badan ayaa raadiya daaweyn si ay u yareeyaan xanuunka saameeya laf dhabarta oo ay dib u soo celiyaan dhererka saxanka ee jirkooda. Maqaalka maanta waxa uu eegayaa sida xanuunka laf dhabarta u saameeyo qoorta iyo dhabarka qofka iyo sida daawaynta sida xanuunka laf-dhabarka u yarayn karo xanuunka laf-dhabarka iyo soo celinta dhererka saxanka. Waxaan la hadalnaa bixiyeyaasha caafimaadka ee shahaadeysan kuwaas oo xoojiya macluumaadka bukaannadayada si loo qiimeeyo sida xanuunka laf dhabarta uu si weyn u saameyn karo fayoobaanta qofka iyo tayada nolosha ee jirkooda. Waxaan sidoo kale ku wargelineynaa oo ku hageynaa bukaanka sida isku-dhafka laf-dhabarka laf-dhabarku uu u caawin karo yaraynta xanuunka laf-dhabarka iyo soo celinta dhererka saxanka laf-dhabarka. Waxaan ku dhiirigelinaynaa bukaanadayada inay waydiiyaan bixiyeyaashooda caafimaadka ee la xidhiidha su'aalo adag oo muhiim ah oo ku saabsan ku darista daawaynta aan qaliinka ahayn ee caafimadka iyo fayoqabka si loo yareeyo xanuunka laf dhabarta oo ay dib u helaan tayada noloshooda. Dr. Jimenez, DC, waxa ku jira macluumaadkan adeeg akadeemiyadeed ahaan. Afeef.

 

Sidee Xanuunka laf-dhabarku u saameeyaa Qofka Qoorta & Dhabarka

Miyaad dareentaa murqo xanuun iyo xanuun joogto ah qoortaada iyo dhabarka? Miyaad la kulantay qallafsanaan iyo dhaqdhaqaaq xaddidan markaad leexinayso oo aad leexanayso? Mise walxaha cuslaa waxay keenaan murqo xanuun marka ay meel ka guurayaan oo meel kale u guurayaan? Shakhsiyaad badan ayaa socon doona waxayna noqon doonaan meelo aan caadi ahayn iyaga oo aan dareemin xanuun iyo raaxo la'aan marka ay timaado lafdhabarta. Tani waxay sabab u tahay murqaha iyo unugyada ku wareegsan oo la fidiyay iyo saxannada laf-dhabarka oo qaadanaya cadaadiska tooska ah ee lafdhabarta. Si kastaba ha noqotee, marka arrimaha deegaanka, dhaawacyada dhaawacyada, ama gabowga dabiiciga ah ay bilaabaan inay saameeyaan lafdhabarta, waxay u horseedi kartaa horumarinta xanuunka laf-dhabarka. Tani waa sababta oo ah qaybta dibedda ee saxanka laf-dhabarka ayaa sax ah, iyo qaybta gudaha ee saxanka ayaa la saameeyaa. Marka cadaadiska aan caadiga ahayn ay bilaabaan inay yareeyaan qaadashada biyaha gudaha saxanka, waxay gudaha kicin kartaa dareemayaasha xanuunka iyada oo aan lahayn calaamadaha xididka dareemayaasha gudaha saxanka. (Zhang et al., 2009) Tani waxay sababtaa shakhsiyaad badan inay la tacaalaan qoorta iyo dhabarka xanuunka jidhkooda waxayna yareeyaan tayada noloshooda. 

 

 

Xanuunka laf-dhabarku wuxuu u horseedi karaa muuqaalo khatar ah oo isku dhafan oo keena shakhsiyaad badan si ay ula tacaalaan xanuunka dhabarka hoose ee daran iyo qoorta, taas oo markaa keenta in muruqyada ku hareeraysan ay noqdaan kuwo daciif ah, cidhiidhi ah, iyo xad-dhaaf ah. Isla mar ahaantaana, xididdada dareemayaasha ee ku hareeraysan ayaa sidoo kale saameeya sida fiilooyinka dareemayaasha ee ku wareegsan qaybaha dibadda iyo gudaha ee saxanka laf-dhabarka, taas oo keenta xanuunka nociceptive ee qoorta iyo dhabarka waxayna keentaa xanuunka discogenic. (Copes iyo al., 1997) Marka shakhsiyaad badan ay la tacaalayaan xanuunka murqaha ee la xidhiidha saxannada laf-dhabarka, waxay keentaa xanuunka-spasm-xanuunka wareegga kaas oo saameyn kara jirkooda sababtoo ah dhaqdhaqaaq la'aan ku filan oo keena dhaqdhaqaaqyo muruq oo xanuun leh marka ay isku dayayaan inay guuraan. (Roland, 1986) Marka qofku leeyahay dhaqdhaqaaq xaddidan oo sababa inuu la kulmo xanuunka laf-dhabarka, dhererka saxanka dabiiciga ah ayaa si tartiib tartiib ah u xumaada, taasoo keenta arrimo badan oo jidhkooda ah iyo culaysyo dhaqaale. Nasiib wanaag, marka shakhsiyaad badan ay la tacaalayaan xanuunka laf-dhabarka, daaweyno badan ayaa yareyn kara xanuunka laf-dhabarka waxayna soo celin karaan dhererkooda saxanka.

 


Daawo Dhaqdhaqaaqa- Video


Sida Depression-ka laf-dhabarku u yareeyo xanuunka laf dhabarta

Marka ay dadku raadinayaan daaweynta xanuunka laf-dhabarka, qaar badan ayaa raadsan doona daaweyn qalliin si loo yareeyo xanuunka, laakiin waxay noqon doontaa waxoogaa qaali ah. Si kastaba ha ahaatee, shakhsiyaad badan ayaa dooran doona daaweynta aan qaliinka ahayn sababtoo ah awooddooda. Daawaynta aan qalliinka ahayn waa kuwo kharash-ool ah oo lagu beddeli karo xanuunka iyo raaxo-darrada qofka. Laga soo bilaabo daryeelka xanuunka loo yaqaan 'chiropractic care' ilaa acupuncture, iyadoo ku xiran darnaanta xanuunka qofka, qaar badan ayaa heli doona nasinta ay raadinayaan. Mid ka mid ah daawaynta ugu cusub ee lagu dhimayo xanuunka laf dhabarta waa laf-dhabarta oo hoos u dhacda. Kala-baxa laf-dhabarku wuxuu u oggolaanayaa shakhsiga in lagu dhejiyo miiska jiidashada. Tani waa sababta oo ah waxay si tartiib ah u jiidaysaa laf-dhabarka si ay dib ugu hagaajiso saxanka laf-dhabarka iyada oo la yareynayo cadaadiska laf dhabarta si loogu baaqo habka bogsashada dabiiciga ah ee jidhka si loo yareeyo xanuunka. (Ramos & Martin, 1994) Intaa waxaa dheer, marka shakhsiyaad badan ay isticmaalayaan kala-baxa laf-dhabarka, jilicsanaanta jilicsan waxay bixisaa jahawareer dhaqdhaqaaqa laf dhabarta taas oo keeni karta isbeddel jireed oo ku yimaada saxanka laf-dhabarka oo gacan ka geysta soo celinta dhaqdhaqaaqa kala duwan ee qofka, dabacsanaanta, iyo dhaqdhaqaaqa. (Amjad iyo al., 2022)

 

Kala-baxa Laf-dhabarta Soo Celinta Dhererka Saxanka Laf-dhabarta

 

Marka qofka lagu xidho mishiinka kala-baxa laf-dhabarta, jiid-jiidashada jilicsan waxay caawisaa saxanka laf-dhabarka inuu ku soo laabto laf-dhabarta, taas oo u oggolaanaysa dareeraha iyo nafaqooyinka inay dib u fuuqeeyaan lafdhabarta, kordhinta dhererka saxanka laf dhabarta. Tani waa sababta oo ah laf-dhabarka laf-dhabarku wuxuu abuuraa cadaadis taban oo lafdhabarta ah, taas oo u oggolaanaysa saxanka laf-dhabarka inuu ku soo laabto dhererkiisii ​​​​asalka ahaa oo bixiya gargaar. Waxaa dheer, waxa la yaab leh ee laf-dhabarka laf-dhabarku sameeyo waa in lagu dari karo daaweynta jireed si ay u caawiso fidinta iyo xoojinta muruqyada ku hareeraysan ee u dhow lafdhabarta si ay u bixiso xasillooni iyo dabacsanaan dheeraad ah. (Vanti iyo al., 2023) Tani waxay u ogolaaneysaa shakhsiga inuu aad uga taxadaro jirkiisa oo uu bilaabo inuu ku daro isbeddel yar oo caado ah si loo yareeyo xanuunka soo noqoshada. Marka dad badani bilaabaan inay ka fikiraan caafimaadkooda iyo fayoobaantooda iyagoo aadaya daawaynta, waxay dib u heli doonaan tayada noloshooda waxayna ku soo laaban doonaan hawl maalmeedkooda iyada oo aan arrimaha saameynaya laf dhabarta. 


tixraacyada

Amjad, F., Mohseni-Bandpei, MA, Gilani, SA, Ahmad, A., & Hanif, A. (2022). Saamaynta daaweynta qalliinka qalliinka ee aan qalliinka ahayn marka lagu daro daaweynta jireed ee joogtada ah ee xanuunka, kala duwanaanta dhaqdhaqaaqa, dulqaadka, naafanimada shaqeynta iyo tayada nolosha oo ka soo horjeeda daaweynta jireed ee caadiga ah oo keliya oo keliya bukaanka qaba radiculopathy lumbar; tijaabo aan kala sooc lahayn oo la xakameeyey. Muruq-mareenka BMC, 23(1), 255. doi.org/10.1186/s12891-022-05196-x

Coppes, MH, Marani, E., Thomeer, RT, & Groen, GJ (1997). Innervation of "xanuun" saxanada lumbar. Spine (Phila Pa 1976), 22(20), 2342-2349; dood 2349-2350. doi.org/10.1097/00007632-199710150-00005

Ramos, G., & Martin, W. (1994). Saamaynta depression axial vertebral ee cadaadiska intradiscal. J neurosurg, 81(3), 350-353. doi.org/10.3171/jns.1994.81.3.0350

Roland, MO (1986). Dib-u-eegis muhiim ah oo caddaynta loogu talagalay wareegga xanuunka-spasm-xanuunka ee xanuunada laf-dhabarka. Clin Biomech (Bristol, Avon), 1(2), 102-109. doi.org/10.1016/0268-0033(86)90085-9

Vanti, C., Saccardo, K., Panizzolo, A., Turone, L., Guccione, AA, & Pillastrini, P. (2023). Saamaynta ku-darka jilitaanka farsamada ee daaweynta jireed ee xanuunka dhabarka hooseeya? Dib-u-eegis habaysan oo leh falanqayn-maro. Acta Orthop Traumatol Turc, 57(1), 3-16. doi.org/10.5152/j.aott.2023.21323

Zhang, YG, Guo, TM, Guo, X., & Wu, SX (2009). Baaritaanka bukaan-socodka ee xanuunka dhabarka hoose ee discogenic. Int J Biol Sci, 5(7), 647-658. doi.org/10.7150/ijbs.5.647

Afeef

Soo ogow daawaynta ugu waxtarka badan ee aan qaliinka ahayn ee Sciatica

Soo ogow daawaynta ugu waxtarka badan ee aan qaliinka ahayn ee Sciatica

Daawaynta aan qalliinka ahayn sida acupuncture iyo depression laf-dhabarta ma siin karaan gargaar shakhsiyaadka la tacaalaya sciatica?

Hordhac

Marka ay shakhsiyaad badan bilaabaan inay dareemaan xanuunka hoos u dhacaya lugahooda ka dib maalin dheer oo waxqabadyo ah, waxay u keentaa inay yeeshaan dhaqdhaqaaq xaddidan oo ay ku adkaato helitaanka meel ay ku nastaan. Dad badan ayaa u maleynaya inay kaliya la tacaalayaan xanuunka lugta, laakiin waxay noqon kartaa arrin aad u badan marka ay ogaadaan in aysan ahayn kaliya xanuunka lugta ee ay la kulmaan laakiin ay tahay sciatica. Iyadoo neerfahan dheer uu ka yimaado dhabarka hoose oo uu hoos ugu socdo lugaha, waxay ku dhici kartaa xanuunka iyo raaxo la'aanta marka saxanka herniated ama murqaha ay cadaadiyo oo ay sii xumeeyaan neerfaha. Marka tani dhacdo, waxay saameyn kartaa dhaqdhaqaaqa qofka iyo tayada nolosha, sidaas darteed waxay u horseedi kartaa inay raadiyaan daaweyn si loo yareeyo xanuunka sciatica. Nasiib wanaag, daaweyn kale sida acupuncture iyo depression laf-dhabarta ayaa loo isticmaalay si aan loo yareeyo xanuunka sciatica laakiin sidoo kale waxay bixiyaan natiijooyin waxtar leh. Maqaalka maanta wuxuu eegayaa sciatica, sida laf-dhabarka laf-dhabarka iyo acupuncture ay u yareyn karaan sciatica, iyo sida isku-dhafka labadan daaweyn ee aan qaliinka ahayn ay u horseedi karaan natiijooyin faa'iido leh. Waxaan la hadalnaa bixiyeyaasha caafimaadka ee shahaadeysan ee xoojiya macluumaadka bukaannadayada si loo qiimeeyo sida sciatica ay si weyn u saameyn karto fayo-qabka qofka iyo tayada nolosha. Waxaan sidoo kale ku wargelineynaa oo ku hageynaa bukaanka sida isku-dhafka daaweynta acupuncture iyo depression laf-dhabarta ay si wanaagsan u yareyn karto sciatica. Waxaan ku dhiirigelinaynaa bukaanadayada inay weydiiyaan bixiyeyaashooda caafimaad ee laxidhiidha su'aalo adag oo muhiim ah oo ku saabsan ku darista daawaynta aan qaliinka ahayn ee joogtada ah si loo yareeyo sciatica iyo calaamadaha lagu soo gudbiyo. Dr. Jimenez, DC, waxa ku jira macluumaadkan adeeg akadeemiyadeed ahaan. Afeef.

 

Fahamka Sciatica

Marar badan miyaad la kulantaa kabuubyo ama dareemo kabuubyo ah oo ka yimaada dhabarkaaga hoose ilaa lugahaaga? Ma dareentay in socodkaagu uu dareemayo dheeli tirnaan? Mise ma fidisay lugahaaga markaad fadhiisatay muddo, taasoo ku siinaysa nafis ku meel gaar ah? Iyadoo dareemaha sciatica uu ka ciyaaro doorka muhiimka ah ee dhaqdhaqaaqa lugaha, marka arrimo kala duwan, sida saxannada herniated iyo xitaa uurka, ay bilaabaan inay sii xumeeyaan dareemayaasha, waxay keeni kartaa xanuun. Sciatica waa xaalad xanuun oo lagala tashado oo inta badan lagu sifeeyo sida xanuunka dhabarka hooseeya ama xanuunka lugaha ee radicular sababtoo ah labadan xaaladood ee muruqyada. Kuwani waa cudur-sidaha oo waxaa ka sii dari kara qalloocinta fudud iyo leexashada. (Davis et al., 2024)

 

 

Intaa waxaa dheer, marka shakhsiyaad badan ay sameeyaan dhaqdhaqaaqyo soo noqnoqda ama la tacaalaya isbeddellada hoos u dhaca ee lafdhabarta, saxanka laf-dhabarka ayaa aad ugu nugul herniation. Waxaa laga yaabaa inay ku cadaadiyo dareemayaasha laf-dhabarka, taasoo keenaysa calaamadaha neerfaha si ay ugu yeeraan xanuunka iyo raaxo la'aanta qaybaha hoose. (Zhou et al., 2021) Isla mar ahaantaana, sciatica waxay noqon kartaa labadaba laf-dhabarka iyo ilaha dheeraadka ah ee lafdhabarta laf-dhabarka ee gobolka lumbar, taas oo keenta shakhsiyaad badan oo xanuun joogto ah oo raadinaya gargaar. (Siddiiq iyo al., 2020) Marka xanuunka sciatica uu bilaabo inuu saameeyo cirridka hoose ee qofka, taasoo keenta arrimaha dhaqdhaqaaqa, dad badan ayaa raadiya daaweyn si loo yareeyo saameynta xanuunka ee sciatica. 

 


Cilmiga Motion-Video


 

Acupuncture si loo yareeyo xanuunka Sciatica

Marka ay timaado daaweynta sciatica, dad badan ayaa eegi kara daaweynta aan qalliinka ahayn sababtoo ah awooddeeda iyo waxtarkeeda hoos u dhigista sciatica iyo calaamadaha xanuunka la midka ah. Daawaynta aan qaliinka ahayn waxaa loo habayn karaa xanuunka qofka waxaana la isku dari karaa si loo soo celiyo tayada nolosha qofka. Laba daweyn oo aan qalliin ahayn oo kaa caawin kara dhimista sciatica waa acupuncture iyo depression laf-dhabarta. Acupuncture waxay leedahay taariikh dheer oo bixinaysa saameyn wanaagsan oo ku saabsan hoos u dhigista xanuunka sciatic iyo hagaajinta tayada nolosha qofka. (Yuan et al., 2020) Xirfadlayaasha aadka u tababaran ee Shiinaha waxay isticmaalaan acupuncture waxayna ku daraan cirbadaha yaryar ee adag si ay u bixiyaan gargaar degdeg ah oo ka yimaada calaamadaha la xidhiidha sciatica. Tani waa sababta oo ah acupuncture waxay keenaysaa saameynaha xanuunka iyada oo la xakameynayo firfircoonida microglia, xakameynaya jawaabta bararka dabiiciga ah ee jidhka, iyo hagaajinta reseptors ee weheliya dariiqa xanuunka ee habka dareenka. (Zhang et al., 2023) Ilaa hadda, acupuncture waxay kicin kartaa acupoints jirka si loo soo celiyo dheelitirka.

 

Saamaynta Acupuncture

Mid ka mid ah saameynta acupuncture si loo yareeyo sciatica waa in ay yarayn karto xoojinta xanuunka iyada oo beddeleysa qaababka waxqabadka maskaxda marka la xakameeyo soo-dhoweynta xanuunka. (Yu et al., 2022) Intaa waxaa dheer, marka acupuncturists bilaabaan inay kiciyaan dareemayaasha muruqyada iyo unugyada, waxay sii daayaan endorphins iyo arrimaha kale ee neurohumoral kuwaas oo gacan ka geysta beddelka habka xanuunka ee habka dareenka. Acupuncture waxay caawisaa in la yareeyo bararka iyada oo la hagaajinayo qallafsanaanta muruqa iyo dhaqdhaqaaqa wadajirka ah iyada oo loo marayo kordhinta microcirculation si loo yareeyo bararka iyada oo la xakameynayo xanuunka sciatica ee saameeya cirridaha hoose. 

 

Kala-baxa Laf-dhabarta si loo yareeyo Xanuunka Sciatica

 

Nooc kale oo ka mid ah daaweynta aan qaliinka ahayn waa laf-dhabarka laf-dhabarka, waxayna kaa caawin kartaa yaraynta saameynta sciatica iyo calaamadaha xanuunka ee la xidhiidha. Kala-baxa laf-dhabarku wuxuu isticmaalaa miiska jiidashada si uu si tartiib ah u kala bixiyo laf dhabarta si uu u abuuro cadaadis xun gudaha saxanka laf-dhabarka oo uu xoreeyo neerfaha saameeya. Shakhsiyaadka sciatica, daawayntan aan qalliinka ahayn waxay yaraynaysaa dareemaha sciatica sida laf-dhabarka laf-dhabarku wuxuu caawiyaa yaraynta xanuunka xanuunka iyo hagaajinta dhaqdhaqaaqa dhaqdhaqaaqa ee cirifka hoose. (Choi et al., 2022) Ujeedada ugu weyn ee niyad-jabka laf-dhabarka waa in la abuuro meel bannaan oo ka mid ah kanaalka laf-dhabarka iyo qaababka neerfaha si loo sii daayo dareemaha sciatic-ka ee sii xumaanaya si ay u keenaan xanuun badan. (Burkhard iyo al., 2022

 

Saamaynta Dempression laf dhabarta

Shakhsiyaad badan ayaa bilaabi kara inay dareemaan nafis inay ku daraan niyad-jabka laf-dhabarka ee daaweyntooda fayoobaanta. Daaweyntan aan qaliinka ahayn waxay kor u qaadaa dareeraha iyo nafaqooyinka saxanka laf-dhabarka si ay u bilaabaan habka bogsashada dabiiciga ah ee jidhka. Marka laf dhabarta si tartiib ah loo kala bixiyo, waxaa jira cadaadis yar oo ku yimaada neerfaha sciatica, taas oo yareyn karta xanuunka waxayna hagaajin kartaa dhaqdhaqaaqa. Intaa waxaa dheer, shakhsiyaad badan ayaa dareemi doona dabacsanaantooda iyo dhaqdhaqaaqooda dib ugu soo noqoshada gobolka lumbar.

 

Isku-dubbaridka Acupuncture iyo Depression-ka laf-dhabarka ee Nafisinta

Marka, marka dad badani bilaabaan inay isku daraan xanuunka laf-dhabarka iyo acupuncture sida hab dhammaystiran oo aan qalliin ahayn si loo yareeyo sciatica, natiijooyinka iyo faa'iidooyinka ayaa ah kuwo wanaagsan. Iyadoo laf-dhabarta laf-dhabarta ay beegsanayso bogsashada farsamada ee saxanka laf-dhabarka iyo yaraynta cadaadiska dareemayaasha, acupuncture waxay diiradda saartaa yaraynta xanuunka iyo yaraynta bararka heerka nidaamka. Tani waxay kor u qaadaysaa habka bogsashada dabiiciga ah ee jidhka waxayna bixisaa saameyn isku dhafan si loo hagaajiyo natiijooyinka daaweynta. Daawooyinka aan qaliinka ahayn sida acupuncture iyo laf-dhabarka laf-dhabarka waxay siin karaan natiijo rajo leh shakhsiyaad badan oo raadinaya gargaar ka yimaada xanuunka sciatica iyada oo aan la isticmaalin hababka qalliinka. Daawayntani waxay u oggolaanaysaa qofka inuu dib u helo dhaqdhaqaaqiisa cidhifyada hoose, uu yareeyo xanuunka, oo uu hagaajiyo tayada noloshooda isagoo dadka ka dhigaya kuwo aad u xusuusan jirkooda oo yareeya fursadaha sciatica inay soo noqdaan. Marka sidaas la sameeyo, shakhsiyaad badan ayaa ku noolaan kara nolol caafimaad leh oo aan xanuun lahayn.

 


tixraacyada

Burkhard, MD, Farshad, M., Suter, D., Cornaz, F., Leoty, L., Furnstahl, P., & Spirig, JM (2022). Depression laf-dhabarta oo leh hagitaan gaar ah oo bukaan-socodka. Laf-dhabarta J, 22(7), 1160-1168. doi.org/10.1016/j.spine.2022.01.002

Choi, E., Gil, HY, Ju, J., Han, WK, Nahm, FS, & Lee, PB (2022). Saamaynta Qallafsanaanta Laf-dhabarka ee aan Qalliinka ahayn ee Xanuunka Xanuunka iyo Mugga Herniated Disc ee Saxanka Lumbar Herniated Subacute. Joornaalka Caalamiga ah ee Dhaqanka Caafimaadka, 2022, 6343837. doi.org/10.1155/2022/6343837

Davis, D., Maini, K., Taqi, M., & Vasudevan, A. (2024). Sciatica Gudaha StatPearls. www.ncbi.nlm.nih.gov/pubmed/29939685

Siddiq, MAB, Clegg, D., Hasan, SA, & Rasker, JJ (2020). Sciatica dheeraadka ah ee laf-dhabarka iyo sciatica waxay isku dayayaan: dib u eegis xaddidan. Kuuriyaan J Xanuun, 33(4), 305-317. doi.org/10.3344/kjp.2020.33.4.305

Yu, FT, Liu, CZ, Ni, GX, Cai, GW, Liu, ZS, Zhou, XQ, Ma, CY, Meng, XL, Tu, JF, Li, HW, Yang, JW, Yan, SY, Fu, HY, Xu, WT, Li, J., Xiang, HC, Sun, TH, Zhang, B., Li, MH, . . . Wang, LQ (2022). Acupuncture for sciatica dabadheeraad ah: borotokoolka loogu talagalay tijaabinta kontoroolka la kala soocay ee xarumo badan. BMJ Open, 12(5), e054566. doi.org/10.1136/bmjopen-2021-054566

Yuan, S., Huang, C., Xu, Y., Chen, D., & Chen, L. (2020). Acupuncture for herniation disc lumbar: Protocol for dib u eegis nidaamsan iyo falanqaynta-meta. Daawo (Baltimore), 99(9), e19117. doi.org/10.1097/MD.0000000000019117

Zhang, Z., Hu, T., Huang, P., Yang, M., Huang, Z., Xia, Y., Zhang, X., Zhang, X., & Ni, G. (2023). Waxtarka iyo badbaadada daawaynta acupuncture ee sciatica: Dib-u-eegis nidaamsan iyo falanqaynta-meta ee waddooyinka la kantaroolo ee la kala soocay. Xagga Neurosci, 17, 1097830. doi.org/10.3389/fnins.2023.1097830

Zhou, J., Mi, J., Peng, Y., Han, H., & Liu, Z. (2021). Ururada Sababa ee Cayilka leh ee Xubinta Dhexdhexaadiyaha, Xanuunka Dhabarka Hoose, iyo Sciatica: Laba-Sample Mendelian Randomization Study. Front Endocrinol (Lausanne), 12, 740200. doi.org/10.3389/fendo.2021.740200

Afeef

Doorka Acupuncture ee Daawaynta Xanuunka Murqaha

Doorka Acupuncture ee Daawaynta Xanuunka Murqaha

Shakhsiyaadka la tacaalaya xanuunka murqaha ma ka heli karaan nasasho daawaynta acupuncture si ay dib ugu noqdaan hawlahooda maalmeed iyo fayoobaanta?

Hordhac

Dad badan oo adduunka ah ayaa la tacaalayay xanuunka habdhiska murqaha ee saameeya hawl maalmeedkooda. Qaar ka mid ah arrimaha ugu caansan ee ay dadku la kulmeen xanuunka muruqa waxaa ka mid ah qaab nololeedka fadhiidka ah ee ka shaqeynta shaqada miiska ama baahida jireed ee qaab nololeed firfircoon. Muruqyada, seedaha, seedaha, iyo unugyada jilicsan waxay noqon karaan kuwo si xad dhaaf ah u shaqeeya oo aad u shaqeeya, taasoo keenta in muruqyadu daciifaan. Isla mar ahaantaana, arrimaha somatic visceral somatic ee qoorta, garbaha, iyo dhabarka waxay saameyn karaan qaybaha sare iyo hoose, taasoo keenta nolol naafo ah. Waxyaabo badan oo gacan ka geysan kara horumarinta xanuunka murqaha ayaa saameyn ku yeelan kara habka caadiga ah ee qofka waxayna u horseedi karaan inay helaan farsamooyin kala duwan si ay u yareeyaan xanuunka murqaha ee jirkooda. Maadaama xanuunka muruqa uu noqon karo mid ba'an ama daba-dheeraaday, shakhsiyaad badan oo raadinaya daaweynta jirkooda waxay eegi karaan daaweynta aan qalliinka ahayn sida acupuncture si aysan u yarayn oo kaliya xanuunka murqaha laakiin sidoo kale waxay helaan gargaarka ay raadinayaan. Maqaalka maanta wuxuu diiradda saarayaa sida xanuunka muruqa uu u saameyn karo fayoobaanta qofka, sida nuxurka acupuncture uu faa'iido u yeelan karo murqaha xanuunka, iyo sida dadku u dhexgelin karaan daaweynta acupuncture oo qayb ka ah habka caadiga ah ee fayoqabka. Waxaan la hadalnaa bixiyeyaasha caafimaadka ee shahaadeysan ee xoojiya macluumaadka bukaannadayada si loo qiimeeyo sida murqo xanuunku u saameyn karo wanaagga qofka. Waxaan sidoo kale ku wargelineynaa oo ku hageynaa bukaanka sida daawaynta acupuncture ay uga faa'iideysan karto jirka iyadoo la yareynayo saameynta muruqyada xanuunka. Waxaan ku dhiirigelineynaa bukaanadayada inay weydiiyaan bixiyeyaashooda caafimaad ee laxiriira su'aalo adag oo muhiim ah oo ku saabsan ku darista daawaynta acupuncture ee joogtada ah ee fayoqabka si loo yareeyo xanuunka muruqa iyo calaamadaha la soo gudbiyay. Dr. Jimenez, DC, waxa ku jira macluumaadkan adeeg akadeemiyadeed ahaan. Afeef.

 

Sidee Muruq Xanuunka U Saameyn Karaa Ladnaanta Qofka

Miyaad dareemeysaa saameynta daalka iyo daciifnimada murqahaaga cirifka sare iyo hoose? Miyaad la kulantay xanuun guud ama xanuun qoorta, garbaha, ama dhabarka? Mise qalloocinta iyo leexinta jidhkaagu ma waxay keentaa nafis ku meel gaadh ah jidhkaaga, kaliya inay ka sii xumaato maalinta oo dhan? Marka ay timaado xanuunka murqaha waxay noqon kartaa xaalad dhinacyo badan leh halkaas oo ay ku lug yeelan karto isdhexgalka kakan ee qaab-dhismeedka qofka, jireed, bulsho, qaab nololeed, iyo arrimo caafimaad oo isku dhafan kuwaas oo soo gali kara arrimo ka qaybqaata dadka inay la kulmaan xanuunka muddada dheer. iyo naafada. (Caneiro iyo al., 2021) Shakhsiyaad badani waxay bilaabaan inay sameeyaan dhaqdhaqaaqyo soo noqnoqda ama ay joogaan meelo fadhiid ah, xanuunka muruqa wuxuu kobcin karaa marka ay kala baxaan ama isku dayaan inay dhaqdhaqaaqaan muruqyadooda iyagoo sameynaya hawlahooda caadiga ah. Culayska xanuunka muruqa ayaa inta badan la xidhiidha arrimo dhaqan-dhaqaale oo sababi kara dad badan, yar iyo weynba, inay si xad dhaaf ah u xaddidaan dhaqdhaqaaqooda iyo ka-qaybgalkooda hawl-maalmeedkooda, taas oo u horseedda arrimo khatar ah oo kordhay xaaladaha kale ee daba-dheeraada ee laga yaabo inay qabaan. (Dzakpasu iyo al., 2021)

 

 

Marka shakhsiyaad badan ay la tacaalayaan xanuunka muruqa ee qaabka daran ama joogtada ah, qaar badan ayaa inta badan ma ogaan in marka muruqyada ay saameeyeen ee qaybaha sare iyo hoose ee jirka ay la tacaalayaan xanuunka, waxaa jira xanuun iyo qallafsanaan la xidhiidha sida firfircoon ama firfircoonaanta Muruqyadu waxay saameyn karaan unugyada jilicsan ee keenaya cadaadis farsamo oo sarreeya oo saameeya kala-goysyada lafaha. (Wilke & Behringer, 2021Markay tani dhacdo, dad badan ayaa bilaabi doona inay la kulmaan xanuunka murqaha ee jirkooda, taasoo keenaysa arrimo la xidhiidha dhaqdhaqaaqooda, dabacsanaantooda, iyo xasiloonida. Isku soo wada duuboo, xanuunka murqaha ayaa sidoo kale calaamad u noqon kara dad badan oo qaba xanuuno kala duwan oo jirkooda ah kuwaas oo saameyn ku yeeshay noloshooda ka hor; daawaynta waxay yarayn kartaa saamaynta murqaha xanuunka waxayna ka caawin kartaa inay dib u qaataan hawlahooda caadiga ah si ay u hoggaamiyaan qaab nololeed caafimaad leh.

 


Daawo Dhaqdhaqaaqa- Video


Nuxurka Acupuncture ee Xanuunka Murqaha

Marka dad badani ay la tacaalayaan xanuunka murqaha, waxay raadinayaan daaweyn aan la awoodin oo kaliya laakiin sidoo kale waxay noqon kartaa mid waxtar leh si loo yareeyo astaamaha khatarta ah ee saameeya jidhka, taasoo keenta murqo xanuun. Daawooyin badan sida daryeelka xanuunka loo yaqaan 'chiropractic care', niyad-jabka, iyo daawaynta duugista ayaa ah kuwo aan qaliin ahayn waxayna waxtar u leeyihiin kulamo xiriir ah. Mid ka mid ah daawaynta ugu da'da weyn uguna waxtarka badan ee kaa caawin kara yaraynta xanuunka murqaha ee jirka waa daaweynta acupuncture. Acupuncture waa daaweyn dhamaystiran oo laga soo qaatay Daawo dhaqameed Shiinees ah oo adeegsata irbado yaryar, adag, khafiif ah oo ay geliyaan acupuncturists xirfadleyaal ah acupoints kala duwan. Falsafada ugu weyni waa in acupuncture ay nasiso jidhka maadaama ay ka caawiso hagaajinta socodka tamarta jidhka iyada oo la ilaalinayo caafimaadka guud ee qofka iyo firfircoonida. (Zhang et al., 2022) Marka qofku uu la tacaalayo xanuunka muruqa, fiilooyinka muruqa waxay yeelan karaan nodules yar yar oo loo yaqaan dhibco kiciya kuwaas oo keeni kara xanuunka afar geesoodka murqaha ee saameeya. Iyadoo cirbadaha cirbadaha lagu dhejiyo aagga ay dhibaatadu saameysey, xanuunka maxaliga ah iyo kuwa la soo gudbiyo ayaa hoos u dhacaya, socodka dhiigga muruqa iyo ogsijiinta ayaa lagu soo celiyaa jirka, iyo dhaqdhaqaaqa kala duwan ee muruqa waa la wanaajiyey. (Pourahmadi iyo al., 2019Qaar ka mid ah faa'iidooyinka ay bixiso daawaynta acupuncture waxaa ka mid ah:

  • Wareegga oo kordha
  • Yaraynta bararka
  • Soo daynta Endorphin
  • Dejinta xiisadda muruqa

 

Isku-dubbaridka Acupuncture oo qayb ka ah Fayo-qabka Joogtada ah

Shakhsiyaad badan oo raadinaya daawaynta acupuncture oo qayb ka ah safarkooda fayoobi waxay arki karaan faa'iidooyinka wanaagsan ee acupuncture waxayna ku dari karaan daaweynta kale si loo yareeyo fursadaha xanuunka muruqa ee soo noqoshada. Iyadoo acupuncture ay gacan ka geysan karto kicinta dareemayaasha iyo soo celinta shaqada dhaqdhaqaaqa, daawaynta sida abaabulka wadajirka ah waxay gacan ka geysan kartaa fidinta murqaha iyo kala-goysyada saameeya si loo hagaajiyo dhaqdhaqaaqa kala duwan ee jirka. (Lee et al., 2023) Shakhsiyaad badan oo raadinaya daawaynta acupuncture si loo yareeyo xanuunka murqaha, qaar badan ayaa samayn kara isbeddel yar oo ku yimaada hawlahooda caadiga ah si ay uga hortagaan xanuunka inuu keeno muuqaalada khatarta ah ee jirkooda. Markaad wax ka qabato sababaha asaasiga ah ee xanuunka iyo kor u qaadida awoodaha bogsashada ee jidhka, acupuncture waxay kaa caawin kartaa soo celinta dheelitirka, yaraynta raaxo la'aanta, iyo kor u qaadida guud ahaan fayoobida.

 


tixraacyada

Caneiro, JP, Bunzli, S., & O'Sullivan, P. (2021). Caqiidooyinka ku saabsan jidhka iyo xanuunka: doorka muhiimka ah ee maareynta xanuunka muruqyada. Braz J Phys Ther, 25(1), 17-29. doi.org/10.1016/j.bjpt.2020.06.003

Dzakpasu, FQS, Carver, A., Brakenridge, CJ, Cicuttini, F., Urquhart, DM, Owen, N., & Dunstan, DW (2021). Xanuunka muruqa iyo habdhaqanka fadhiidka ah ee goobaha shaqada iyo kuwa aan shaqada ahayn: dib u eegis nidaamsan oo leh falanqaynta meta. Xeerka J Janka Beelka Nutr, 18(1), 159. doi.org/10.1186/s12966-021-01191-y

Lee, JE, Akimoto, T., Chang, J., & Lee, HS (2023). Saamaynta isku-dhafka wadajirka ah oo ay weheliso acupuncture xanuunka, shaqada jireed, iyo niyad-jabka ee bukaannada istaroogga ee qaba xanuunka neuropathic xanuunka joogtada ah: tijaabo la kantaroolay oo la kala soocay. QALABKA HALKAN, 18(8), e0281968. doi.org/10.1371/journal.pone.0281968

Pourahmadi, M., Mohseni-Bandpei, MA, Keshtkar, A., Koes, BW, Fernandez-de-Las-Penas, C., Dommerholt, J., & Bahramian, M. (2019). Waxtarka irbad qallalan si loo hagaajiyo xanuunka iyo naafanimada ee dadka qaangaarka ah ee leh nooca- kacsanaanta, cervicogenic, ama madax xanuunka dhanjafka: borotokoolka dib u eegista habaysan. Daaweyn Man The Chiropr, 27, 43. doi.org/10.1186/s12998-019-0266-7

Wilke, J., & Behringer, M. (2021). "Muruqa Xanuunka Muruqa ee Bilowga ah" ma saaxiib been ah? Saamaynta suurtogalka ah ee unugyada isku xidhka wejiga ee raaxo la'aanta jimicsiga ka dib. Int J Mol Sci, 22(17). doi.org/10.3390/ijms22179482

Zhang, B., Shi, H., Cao, S., Xie, L., Ren, P., Wang, J., & Shi, B. (2022). Muujinta sixirka acupuncture ee ku salaysan hababka noolaha: Dib u eegista suugaanta. Isbeddellada Biosci, 16(1), 73-90. doi.org/10.5582/bst.2022.01039

Afeef

Dhabar-xumada: Sida loo Helo Gargaarka loogana Hortago Dhacdooyinka Mustaqbalka

Dhabar-xumada: Sida loo Helo Gargaarka loogana Hortago Dhacdooyinka Mustaqbalka

Barashada sababta dhibaatada iyo sida si wax ku ool ah loo maareeyo waxay ka caawin kartaa shakhsiyaadka la kulma xanuunka dhabarka inay si degdeg ah oo badbaado leh ugu noqdaan heerarkii hore ee shaqada iyo dhaqdhaqaaqa.

Dhabar-xumada: Sida loo Helo Gargaarka loogana Hortago Dhacdooyinka Mustaqbalka

Dhabar-xumada

Shakhsiyaadka la tacaalaya xanuunka dhabarka ama sciatica waxay inta badan ku tilmaamaan calaamadaha sida muruqyada dhabarka oo adkeynaya ama xoqan. Burburka dhabarku wuxuu dareemi karaa khafiif, sida feedh ku cadaadinaya hal dhinac oo laf dhabarta ah ama xanuun aad u daran oo qofka u diidaya inuu si raaxo leh u fadhiyo, u istaago, ama u socdo. Xuubka baska ayaa noqon kara mid aad u daran, taaso ku keenta dhibaato joogteynta qaabka toosan ee caadiga ah.

Waa maxay Spasm

Xanuunka dhabarku waa cidhiidhi muruqa dhabarka si lama filaan ah. Mararka qaarkood, dareenka cidhiidhiga ah wuxuu noqdaa mid aad u daran oo daran oo ka hortagaya shakhsiga inuu si caadi ah u socdo. Shakhsiyaadka qaarkood waxaa ku adag inay hore u foorarsadaan xanuunka iyo cidhiidhiga.

Calaamadaha

Dhacdooyinka intooda badani waxay socdaan dhowr saacadood ilaa dhowr maalmood. Kiisaska daran waxay socon karaan ilaa lix ilaa siddeed toddobaad, laakiin maroojisyada iyo xanuunka ayaa si tartiib tartiib ah u yaraada, taas oo u oggolaanaysa qofka inuu si caadi ah u socdo oo uu dib u bilaabo dhaqdhaqaaqa caadiga ah. Dareenka caadiga ah iyo calaamadaha waxaa ka mid noqon kara:

  • qaloocida adag
  • Dareen cidhiidhi ah oo dhabarka ah.
  • Xanuunada iyo dareenka garaaca.
  • Xanuun hal ama labada dhinac ee dhabarka.

Marmarka qaarkood, bararku wuxuu keeni karaa xanuun soo iftiimaya badhida iyo miskaha. Marka uu daran yahay, waxaa weheliya xanuunka neerfaha, kabuubyo, iyo jidhidhico ka soo baxa hal ama labada lugood. (Medline Plus. 2022)

Sababaha

Burburka dhabarka waxaa sababa unugyo muruqyo ah oo ciriiri ah, taas oo inta badan ka dhalata cadaadis farsamo. Cadaadisku wuxuu keenaa unugyada muruqa ee u dhow laf dhabarta in si aan caadi ahayn loo jiido. Jiiditaanka awgeed, fiilooyinka muruqa ayaa noqda kuwo taran oo xanuunaya. Sababaha makaanikada ee daba-galka dhabarka waxaa ka mid noqon kara: (Buugga Merck, 2022)

  • Fadhi liidata iyo/ama qaabka taagan
  • Dhaawac isticmaalka xad dhaafka ah ee soo noqnoqda.
  • Noocyada lumbar.
  • Herniation disc lumbar.
  • Osteoarthritis dhabarka hoose.
  • Spondylolisthesis - laf-dhabarta waxay ka beddeshaa booska, oo ay ku jiraan anterolisthesis iyo retrolisthesis.
  • Gawaarida lafdhabarta

Dhammaan kuwan waxay ku dhejin karaan walaac dheeraad ah qaababka anatomical ee lafdhabarta. Muruqyada dhabarka hoose ee u dhow dhismayaashan ayaa laga yaabaa inay galaan qulqulo difaac ah oo sidoo kale sababi kara dareen adag oo xanuun dhabarka ah. Sababaha kale ee aan makaanikada ahayn ee dhabar jabka hoose waxaa ka mid ah: (Buugga Merck, 2022)

  • Cadaadiska iyo walwalka
  • Dhaqdhaqaaq la'aan iyo jimicsi la'aan
  • fibromyalgi

Waxyaabaha Halista ah

Waxyaalaha halista u ah maroojinka dhabarka waxaa ka mid ah: (Machadka Qaranka ee Xanuunada Neerfaha iyo Stroke, 2023)

  • Age
  • Arrimaha shaqada la xiriira - qaadista joogtada ah, riixida, jiidashada, iyo/ama leexinta.
  • Fadhiga oo liidata ama fadhida wakhti dheer oo aan lahayn taageero dhabarka ah.
  • La'aanta qaboojinta jirka.
  • Miisaan badan ama cayil.
  • Xaaladaha nafsiga ah - walaaca, niyad-jabka, iyo walbahaarka shucuureed.
  • Taariikhda caafimaadka qoyska ee ankylosing spondylitis.
  • Sigaarka

Shakhsiyaadka waxay joojin karaan sigaarka, bilaabi karaan jimicsi, ama waxay samayn karaan waxqabadyo wanaagsan si ay u caawiyaan maaraynta walbahaarka. Shakhsiyaadka la tacaalaya bararka dhabarka ayaa laga yaabaa inay u baahdaan inay arkaan bixiye daryeel caafimaad si loo ogaado ogaanshaha saxda ah iyo daaweynta.

Daaweynta

Daawaynta bararka dhabarka waxa ku jiri kara dawooyinka guriga ama daawaynta bixiyayaasha caafimaadka. Daawaynta waxaa loogu talagalay in lagu nafiso bararka oo lagu maareeyo culeysyada farsamada ee laga yaabo inay sababeen. Xirfadlayaasha caafimaadku waxay sidoo kale muujin karaan xeelado looga hortagayo bararka. Daawooyinka guriga waxaa ka mid noqon kara:Buugga Merck, 2022)

  • Codsiga kulaylka ama barafka
  • duugista dhabarka hoose
  • hagaajinta dambe
  • Kala bixin dabacsan
  • Dawaynta xanuunka
  • Daawooyinka ka hortagga bararka (Anuj Bhatia iyo al., 2020)

Haddii xeeladaha is-daryeelku ay awoodi waayaan inay bixiyaan gargaar, shakhsiyaadka ayaa laga yaabaa inay u baahdaan inay booqdaan xirfadle caafimaad si loo daweeyo. Daawaynta caafimaad waxaa ka mid noqon kara:Buugga Merck, 2022)

  • Daawaynta jirka
  • Daryeelka lafdhabarta
  • Irbadaha
  • Depression oo aan qaliin ahayn
  • kicinta neuromuscular koronto transcutaneous
  • Cirbadaha isteeroodhka
  • Qalliinka Lumbar waa daawaynta ugu dambeysa.

Shakhsiyaadka intooda badani waxay awoodaan inay ku maareeyaan calaamadaha daaweynta jireed ama xanuunka loo yaqaan 'chiropractic therapy', oo ay ku jiraan jimicsiga barashada iyo hagaajinta booska si loo yareeyo cidhiidhiga.

Ka Hortagga

Hab-nololeedka fudud ee hab-nololeedka ah ayaa saamayn weyn ku yeelan kara bararka dhabarka. Siyaabaha looga hortago dhabarka gariir waxaa ka mid noqon kara: (Medline Plus. 2022) (Buugga Merck, 2022)

  • Ilaalinta fuuq-baxa maalinta oo dhan.
  • Wax ka beddelka dhaqdhaqaaqa iyo foorarsiga iyo farsamooyinka kor u qaadista.
  • Ku celcelinta farsamooyinka sixitaanka boostada.
  • Samaynta jimicsiga maalinlaha ah iyo xoojinta jimicsiga.
  • Ka qayb qaadashada jimicsiga wadnaha iyo xididada.
  • Sameynta meditation ama farsamooyinka kale ee maareynta cadaadiska.

Baxnaaninta Dhaawaca Shakhsi ahaaneed


tixraacyada

Medline Plus. (2022). Xanuun dhabarka hooseeya - ba'an. Laga soo celiyay medlineplus.gov/ency/article/007425.htm

Buugga Merck. (2022). Xanuun dhabarka hooseeya. Nooca Macaamilka ee Buugga Merck. www.merckmanuals.com/home/bone,-joint,-and-muscle-disorders/low-back-and-neck-pain/low-back-pain

Machadka Qaranka ee Xanuunada Neerfaha iyo Stroke. (2023). dhabar xanuunka. Laga soo celiyay www.ninds.nih.gov/health-information/disorders/back-pain?

Bhatia, A., Engle, A., & Cohen, SP (2020). Wakiilada dawooyinka ee hadda iyo mustaqbalka ee daaweynta xanuunka dhabarka. Fikradda khabiirka ee ku saabsan daawaynta, 21(8), 857-861. doi.org/10.1080/14656566.2020.1735353

Ikhtiyaarada Daawaynta ee Waxtarka leh ee Lumbar Laf-dhabarka Stenosis: Decompression laf-dhabarta

Ikhtiyaarada Daawaynta ee Waxtarka leh ee Lumbar Laf-dhabarka Stenosis: Decompression laf-dhabarta

Shakhsiyaadka qaba stenosis laf-dhabarka laf-dhabarka ma isticmaali karaan kala-baxa laf-dhabarka si loo yareeyo xanuunka dhabarka hooseeya oo loo soo celiyo dhaqdhaqaaqa?

Hordhac

Shakhsiyaad badan oo adduunka ah ayaa la tacaalayay xanuunka dhabarka hooseeya waqti noloshooda ka mid ah kuwaas oo saameeya dhaqdhaqaaqooda oo saameyn ku yeeshay hawlahooda caadiga ah. Waxyaabo badan oo deegaanka ah ayaa u horseedi kara korriinka xanuunka dhabarka hooseeya, sida qaadista culus ee aan habboonayn, qaab-dhismeedka liita, dhaawacyada dhaawacyada, iyo shilalka kuwaas oo saameyn kara muruqyada ku xeeran, laf-dhabarka, iyo xididdada dareemayaasha. Marka tani dhacdo, waxay u horseedi kartaa lumbar laf-dhabarka laf-dhabarka waxayna sababi kartaa astaamo khatar ah oo isku-dhafan oo xiriir la leh xanuunka dhabarka hooseeya. Marka ay dadku la tacaalayaan stenosis laf-dhabarka laf-dhabarka, waxay ku fekerayaan in xanuunkoodu ku jiro cidhifyada hoose. Halkaa marka ay marayso, shakhsiyaad badan ayaa raadiya daaweyn si aysan u yareynin xanuunka dhabarka hooseeya laakiin sidoo kale waxay yareeyaan saameynta laf-dhabarka laf-dhabarka. Daawooyinka qaarkood, sida xanuunka laf-dhabarka, oo ah daaweyn aan qalliin ahayn, waxay gacan ka geysan kartaa soo celinta dhaqdhaqaaqa jirka. Maqaalka maanta wuxuu eegayaa sida laf-dhabarka laf-dhabarka laf-dhabarka uu u saameeyo dhabarka hoose iyo ogaanshaha iyada oo la eegayo sida laf-dhabarka laf-dhabarku u siin karo gargaar shakhsi ahaaneed oo uu leeyahay faa'iidooyin wanaagsan oo dib u soo celinta dhaqdhaqaaqa. Waxaan la hadalnaa bixiyeyaasha caafimaadka ee shahaadaysan kuwaas oo xoojiya macluumaadka bukaannadayada si loo qiimeeyo sida stenosis laf-dhabarka laf-dhabarka uu ula xiriiro xanuunka dhabarka hoose, oo keena arrimaha dhaqdhaqaaqa. Waxaan sidoo kale ku wargelineynaa oo ku hageynaa bukaanada sida laf-dhabarka laf-dhabarku u yahay nooc daaweyn oo heer sare ah oo lagu dari karo daaweynta kale. Waxaan ku dhiirigelinaynaa bukaanadayada inay weydiiyaan bixiyeyaashooda caafimaad ee la xidhiidha su'aalo adag oo muhiim ah oo ku saabsan isku darka daaweynta depression si loo yareeyo saameynta xanuunka ee ay keento lumbar stenosis iyada oo la yareynayo saameynta xanuunka ee isku dhafan sida xanuunka dhabarka hoose si uu dib ugu soo celiyo dhaqdhaqaaqa qofka. Dr. Jimenez, DC, waxa ku jira macluumaadkan adeeg akadeemiyadeed ahaan. Afeef.

 

Sidee Lumbar Stenosis laf-dhabarka u saameeyaa dhabarka hoose

Ma dareemaysaa dareen-jidhid xagga dambe ee lugahaaga oo saameeya awooddaada inaad ku wareegtid? Mise dhabarkaaga hoose ma dareemayaa dhaqdhaqaaq ka yar sidii hore? Marka shakhsiyaad badan ay la kulmaan xanuunka dhabarka hooseeya inta ay nool yihiin, waxay inta badan la xiriiri kartaa stenosis laf-dhabarka. Laf-dhabarka laf-dhabarka ee lumbar wuxuu badanaa dhacaa marka kanaalka laf-dhabarka ee dhabarka hoose uu noqdo mid ciriiri ah, taasoo keenta isbeddello qallafsan. Marka laf-dhabarka laf-dhabarku uu bilaabo inuu cidhiidhi galo laf-dhabarta, waxay keeni kartaa raaxo-darro weyn, fara-galin hawl maalmeedka, waxayna keeni kartaa naafonimo horudhac ah oo shakhsiyaad badan ah. (Munakomi et al., 2024) Calaamadaha ay sababto laf-dhabarka laf-dhabarka laf-dhabarka waxay u dhexeeyaan mid khafiif ah ilaa daran, iyo arrimaha deegaanka ee u dhigma arrinta. Isla mar ahaantaana, laf-dhabarka laf-dhabarka ee lumbar waxaa lagu gartaa calaamadaha sida xanuunka dhabarka hooseeya kaas oo keeni kara isbeddello spondylotic ah oo keena xanuunka dhabarka hooseeya kaas oo si xun u saameyn kara tayada nolosha qofka. (Ogon iyo al., 2022) Tani waxay keentaa in dad badani ay u tagaan dhakhaatiirtooda aasaasiga ah si ay u ogaadaan cudurka oo ay bartaan sida loo maareeyo xanuunka la xidhiidha stenosis laf-dhabarka.

 

Cilad-sheegashada Laf-dhabarka Lumbar ee Stenosis

Marka ay timaaddo ogaanshaha xuubka laf-dhabarka ee lumbar, bixiyeyaal badan oo daryeel caafimaad ayaa ku dari doona qiimeyn dhamaystiran, oo ay ku jiraan baaritaan jireed si loo arko sida dhabarka qofka dhabarka u yahay iyo baaritaanka sawirka sida MRIs iyo CT scans si loo arko kanaalka laf-dhabarka oo la qiimeeyo inta uu le'eg yahay cidhiidhi taasoo keenaysa xanuunka cirridaha hoose. Tani waa sababta oo ah marka shakhsiyaadka ay la tacaalaan xuubka laf-dhabarka ee lumbar, waxay ka muuqan kartaa claudication neurogenic ee cirifka hoose, gaar ahaan marka qofku taagan yahay ama fadhiyo. Xanuunku wuu yaraadaa marka booskooda la beddelo. (Sobanski iyo al., 2023) Intaa waxaa dheer, lumbar laf-dhabarka stenosis waa mid ka mid ah cilladaha laf-dhabarka ee inta badan la ogaado oo xirfadlayaal daryeel caafimaad oo badan ay qiimeeyaan oo qiimeeyaan. Marka ay jirto cidhiidhi ku yimaadda kanaalka laf-dhabarka, taasoo horseedaysa horumarinta laf-dhabarka laf-dhabarka, dhaqdhaqaaqyada fudud sida socodka ayaa ka sii dari kara calaamadaha cidhifyada hoose iyo kordhinta ogsijiinta ee dareemayaasha laf-dhabarka, taas oo laga yaabo inay dhaafto socodka dhiigga ee la heli karo ee cirifka. (Deer iyo al., 2019) Ilaa wakhtigaas, daawaynta sida laf-dhabarka laf-dhabarka ayaa kaa caawin kara yaraynta xanuunka dhabarka hoose ee la xidhiidha stenosis laf-dhabarka.

 


Habka aan Qalliinka ahayn ee Caafimaadka- Fiidiyowga


Dariiqa Gargaarka Loo Isticmaalo Dempression laf-dhabarta

Marka ay timaado shakhsiyaadka la kulma xanuunka uu keeno stenosis laf-dhabarka, shakhsiyaad badan ayaa raadin kara daaweyn aan qalliin ahayn sida laf-dhabarka laf-dhabarka si loo yareeyo xanuunka dhabarka hoose. Kala-baxa laf-dhabarka ayaa u soo baxay sidii aan fiicneyn, doorasho daaweyn oo waxtar leh oo loogu talagalay stenosis laf-dhabarka. Waxay ka faa'iidaysataa jiitaan farsamaysan oo jilicsan oo laf dhabarta ah si loo kala bixiyo, iyada oo yaraynaysa dareemaha laf-dhabarka iyada oo abuuraysa meel bannaan oo gudaha ah laf dhabarta. Kala-baxa laf-dhabarku wuxuu yareeyaa habka qallafsanaanta halka muruqyada ku hareeraysan ay si tartiib ah u fidsan yihiin, iyo dhererka saxanka laf dhabarta ayaa kordha sababtoo ah cadaadis xun. (Kang et al., 2016

 

Faa'iidooyinka Hoosudhaca lafdhabarta & Soo celinta Dhaqdhaqaaqa

Intaa waxaa dheer, soo jiidashada jilicsan ee ka soo baxa laf-dhabarka waxay gacan ka geysaneysaa kor u qaadida socodka wax soo saarka nafaqooyinka iyo ogsijiinta dib ugu noqoshada saxannada laf-dhabarka ee saameeyay si ay u kobciso jawi bogsiin oo wanaagsan oo jirka ah. Maadaama laf-dhabarka laf-dhabarka lagu dari karo daaweynta kale ee aan qalliinka ahayn, sida daaweynta jireed iyo wax-qabadka laf-dhabarka, waxay ku siin kartaa saameyn wanaagsan oo joogto ah shakhsiyaadka qaba stenosis laf-dhabarka. (Ammendolia iyo al., 2022) Qaar ka mid ah natiijooyinka faa'iidada leh ee hoos u dhaca laf dhabarta waxaa ka mid ah:

  • Xanuunka xanuunka iyadoo la yareynayo cadaadiska dareemaha laf dhabarta si loo yareeyo xanuunka iyo raaxo la'aanta qaybaha hoose si weyn. 
  • Dhaqdhaqaaqa la wanaajiyay ayaa u oggolaanaya qofka inuu si fudud ugu soo laabto hawlihiisa maalinlaha ah.

Dad badan ayaa ka faa'iidaysan kara niyad-jabka laf-dhabarka si ay u yareeyaan saameynta laf-dhabarka laf-dhabarka oo ay dib u soo celiyaan dhaqdhaqaaqa hoose ee cirifka ka dib kulamo isku xiga si loo yareeyo fursadaha xanuunka ee soo noqoshada. Markaad wax badan ka fakarto caafimaadkooda iyo fayoobaantooda, dad badan ayaa samayn kara isbeddelo yaryar oo joogto ah hawlahooda si ay u yareeyaan xanuunka oo ay u socdaan inta ay nool yihiin. Tani waxay u ogolaaneysaa inay yeeshaan dareen rajo ah si ay uga yareeyaan xanuunka ay ku jireen. 

 


tixraacyada

Ammendolia, C., Hofkirchner, C., Plener, J., Bussieres, A., Schneider, MJ, Young, JJ, Furlan, AD, Stuber, K., Ahmed, A., Cancelliere, C., Adeboyejo, A ., & Ornelas, J. (2022). Daaweynta aan qaliinka ahayn ee lafdhabarta laf-dhabarka ee lumbar oo leh claudication neurogenic: dib u eegis nidaamsan oo la cusbooneysiiyay. BMJ Open, 12(1), e057724. doi.org/10.1136/bmjopen-2021-057724

Deer, T., Sayed, D., Michels, J., Josephson, Y., Li, S., & Calodney, AK (2019). Dib u eegis ku saabsan Stenosis laf-dhabarka Lumbar oo leh Claudication Neurogenic Dhexdhexaad ah: Cudur iyo ogaanshaha. Xanuunka Med, 20(Qalabka 2), S32-S44. doi.org/10.1093/pm/pnz161

Kang, JI, Jeong, DK, & Choi, H. (2016). Saameynta laf-dhabarka laf-dhabarka ee dhaqdhaqaaqa murqaha lumbar iyo dhererka diskka ee bukaanka qaba herniated intervertebral disk. Joornaalka Sayniska Daaweynta Jirka, 28(11), 3125-3130. doi.org/10.1589/jpts.28.3125

Munakomi, S., Foris, LA, & Varacallo, M. (2024). Laf-dhabarta Stenosis iyo Claudication Neurogenic. Gudaha StatPearls. www.ncbi.nlm.nih.gov/pubmed/28613622

Ogon, I., Teramoto, A., Takashima, H., Terashima, Y., Yoshimoto, M., Emori, M., Iba, K., Takebayashi, T., & Yamashita, T. (2022). Sababaha la xidhiidha xanuunka dhabarka hooseeya ee bukaanka qaba xanuunka laf-dhabarka ee lumbar: daraasad-qaybeed. Muruq-mareenka BMC, 23(1), 552. doi.org/10.1186/s12891-022-05483-7

Sobanski, D., Staszkiewicz, R., Stachura, M., Gadzielinski, M., & Grabarek, BO (2023). Soo Bandhigidda, ogaanshaha, iyo Maareynta Xanuunka Dhabarka Hoose ee La Xiriira Stenosis Spinal: Dib-u-eegis Sheeko. Med Sci Monit, 29, e939237. doi.org/10.12659/MSM.939237

 

Afeef

Caawinta Neurogenic Claudication: Daawaynta Ikhtiyaarada

Caawinta Neurogenic Claudication: Daawaynta Ikhtiyaarada

Shakhsiyaadka la kulma toogashada, xanuunka xanuunka ee cirifka hoose, iyo xanuunka lugaha ee joogtada ah ayaa laga yaabaa inay la ildaran yihiin claudication neurogenic. Ogaanshaha calaamadaha ma ka caawin kartaa bixiyeyaasha daryeelka caafimaadka inay sameeyaan qorshe daaweyn oo waxtar leh?

Caawinta Neurogenic Claudication: Daawaynta Ikhtiyaarada

Claudication Neurogenic

Neurogenic Claudication waxay dhacdaa marka neerfayaasha laf-dhabarka ay noqdaan kuwo lagu cadaadiyo lafaha lumbar ama hoose, taasoo keenta xanuun lugaha ah oo isdaba-joog ah. Dareemaha ciriiriga ah ee laf dhabarta lumbar waxay keeni karaan xanuunka lugaha iyo casiraad. Xanuunku wuxuu caadi ahaan ka sii daraa dhaqdhaqaaqyo gaar ah ama dhaqdhaqaaqyo sida fadhiga, istaaga, ama dib u laabashada. Waxa kale oo loo yaqaanaa been abuur ah marka meesha bannaan ee laf dhabarta lumbar ay yaraato. Xaalad loo yaqaan stenosis laf dhabarta lumbar. Si kastaba ha noqotee, claudication neurogenic waa cillad ama koox calaamado ah oo ay keento dareemaha laf-dhabarka ee la gooyey, halka stenosis laf-dhabarku uu qeexayo cidhiidhiga marinnada laf-dhabarka.

Calaamadaha

Calaamadaha claudication neurogenic waxaa ka mid noqon kara:

  • Casiirka lugaha.
  • Kabuubyo, hindhiso, ama dareen gubasho.
  • Daalka lugaha iyo daciifnimada.
  • Dareen culus oo lugaha ah.
  • Xanuun fiiqan, toogasho ama xanuun ah oo ku sii fidaya cidhifyada hoose, inta badan labada lugood.
  • Waxa kale oo laga yaabaa inuu xanuun ka jiro dhabarka hoose ama barida.

Kala-soocidda neerfaha way ka duwan tahay noocyada kale ee xanuunka lugaha, sida xanuunku u beddelo - joogsiga iyo bilawga si aan kala sooc lahayn oo uga sii daraya dhaqdhaqaaqyo gaar ah ama dhaqdhaqaaqyo. Joogsiga, socodka, jaranjarooyinka soo degaya, ama dib u laabashada waxay kicin karaan xanuunka, marka la fadhiyo, jaranjarada la fuulayo, ama horay u foorarsiga waxay u janjeertaa inay xanuunka yareeyaan. Si kastaba ha ahaatee, kiis kastaa wuu ka duwan yahay. Waqti ka dib, claudication neurogenic waxay saameyn kartaa dhaqdhaqaaqa sida shakhsiyaadka isku dayaya inay iska ilaaliyaan dhaqdhaqaaqyada keena xanuunka, oo ay ku jiraan jimicsiga, qaadista walxaha, iyo socodka dheer. Xaaladaha daran, claudication neurogenic waxay ka dhigi kartaa hurdo adag.

Claudication neurogenic iyo sciatica isku mid maaha. Claudication Neurogenic waxay ku lug leedahay cadaadiska dareemaha ee kanaalka dhexe ee laf-dhabarka lumbar, taas oo keenta xanuunka labada lugood. Sciatica waxay ku lug leedahay cadaadiska xididdada dareemayaasha ee ka soo baxa dhinacyada lafdhabarta lumbar, taasoo keenta xanuun hal lug ah. (Carlo Ammendolia, 2014)

Sababaha

Iyadoo claudication neurogenic, neerfayaasha laf-dhabarta oo la cadaadiyo ayaa ah sababta asaasiga ah ee xanuunka lugta. Xaalado badan, lumber stenosis laf-dhabarka - LSS waa sababta dareemaha qanjaruufo. Waxaa jira laba nooc oo lafdhabarta lumbar ah.

  • stenosis Central waa sababta ugu weyn ee claudication neurogenic. Noocan oo kale ah, kanaalka dhexe ee laf-dhabarka lumbar, kaas oo ku yaala xudunta laf-dhabarka, ayaa cidhiidhi ah, taas oo keenta xanuunka labada lugood.
  • Laf-dhabarka laf-dhabarka ee lumbar waa la heli karaa oo kobcin karaa nolosha dambe sababtoo ah laf dhabarta oo sii xumaanaysa.
  • Dhalmada waxaa loola jeedaa in qofka uu ku dhashay xaaladda.
  • Labaduba waxay u horseedi karaan claudication neurogenic siyaabo kala duwan.
  • Cudurka 'Foramen stenosis' waa nooc kale oo ka mid ah stenosis laf-dhabarka lumbar kaas oo sababa cidhiidhiga boosaska labada dhinac ee laf dhabarta lumbar halkaasoo xididdada dareemayaasha ay laan yihiin xudunta laf dhabarta. Xanuunka la xidhiidha wuu ka duwan yahay mid ka mid ah lugta midig ama bidix.
  • Xanuunku wuxuu u dhigmaa dhinaca xudunta laf-dhabarka halkaasoo neerfayaasha lagu dhejiyo.

La helay Stenosis Spinal Spinal

Laf-dhabarka laf-dhabarka ee lumbar waxaa badanaa lagu helaa sababtoo ah hoos u dhaca laf-dhabarka lumbar waxayna u egtahay inay saameyso dadka waaweyn. Sababaha cidhiidhiga ah waxaa ka mid noqon kara:

  • Dhaawaca laf dhabarta, sida shil baabuur, shaqo, ama dhaawac isboorti.
  • Herniation disc.
  • Lafo-jileeca laf-dhabarta - arthritis-ka xirashada iyo jeexjeexa.
  • Ankylosing spondylitis - nooc ka mid ah arthritis-ka bararka ee saameeya laf dhabarta.
  • Osteophytes - lafdhabarta lafaha.
  • Burooyinka laf dhabarta - burooyinka aan kansarka lahayn iyo kuwa kansarka.

Dhadhanka Lumbar Stenosis

Laf-dhabarka laf-dhabarka ee lagu dhasho macnaheedu waa shakhsigu wuxuu ku dhashay cillado aan caadi ahayn oo lafdhabarta ah oo laga yaabo inaysan muuqanin dhalashada. Sababtoo ah booska ku dhex jira kanaalka laf-dhabarka ayaa horeyba cidhiidhi u ahaa, xudunta laf-dhabarta waxay u nugul tahay isbeddel kasta marka shakhsigu da'da yahay. Xitaa shakhsiyaadka qaba arthritis-ka fudud waxay la kulmi karaan calaamadaha claudication neurogenic goor hore waxayna yeelan karaan calaamado 30s iyo 40s halkii ay ka ahaan lahaayeen 60s iyo 70s.

Cilad-

Cilad-sheegidda claudication neurogenic waxay inta badan ku saleysan tahay taariikhda caafimaad ee qofka, baaritaanka jireed, iyo sawirka. Baaritaanka jireed iyo dib u eegis ayaa tilmaamaya meesha xanuunka uu soo bandhigayo iyo goorta. Bixiyaha daryeelka caafimaadku waxa uu ku weydiin karaa:

  • Ma jiraa taariikh xanuun dhabarka hoose ah?
  • Xanuunku ma hal lug baa mise labadaba?
  • Xanuunku ma joogto?
  • Xanuunku ma yimaado oo ma tagaa?
  • Xanuunku ma ka roonaado ama ka sii daraa marka uu taagan yahay ama fadhiyo?
  • Dhaqdhaqaaqa ama dhaqdhaqaaqyada miyay keenaan calaamadaha xanuunka iyo dareenka?
  • Ma jiraan wax dareemo caadi ah markaad socoto?

Daaweynta

Daawadu waxay ka koobnaan karaan daawayn jireed, irbado isteeroydh laf dhabarta ah, iyo daawooyinka xanuunka. Qalliinku waa xalka ugu dambeeya marka dhammaan daawaynta kale ay awoodi waayaan inay bixiyaan gargaar wax ku ool ah.

Daaweynta Jirka

A qorshaha daaweynta waxay ku lug yeelan doontaa daaweynta jireed oo ay ku jiraan:

  • Kala bixin maalinle ah
  • Xoojinta
  • Jimicsiyada jimicsiga
  • Tani waxay kaa caawin doontaa hagaajinta iyo xasilinta murqaha dhabarka hoose iyo hagaajinta dhibaatooyinka booska.
  • Daaweynta shaqadu waxay ku talin doontaa wax ka beddelka dhaqdhaqaaqa ee keena calaamadaha xanuunka.
  • Tan waxaa ku jira makaanikada saxda ah ee jirka, ilaalinta tamarta, iyo aqoonsiga calaamadaha xanuunka.
  • Waxa kale oo laga yaabaa in lagu taliyo suunka dhabarka ama suumanka.

Cirbadaha isteeroodhka laf dhabarta

Bixiyeyaasha daryeelka caafimaadka ayaa laga yaabaa inay kugula taliyaan cirbadaha steroids epidural'ka.

  • Tani waxay u keentaa cortisone steroid qaybta ugu baxsan tiirarka laf dhabarta ama booska epidural'ka.
  • Cirbaduhu waxay ku siin karaan xanuun baabi'in saddex bilood ilaa saddex sano ah. (Sunil Munakomi et al., 2024)

Daawooyinka xanuunka

Daawooyinka xanuunka waxaa loo isticmaalaa in lagu daaweeyo claudication neurogenic intermittent. Kuwaas waxaa ka mid ah:

  • Daawooyinka xanuunka sida acetaminophen.
  • Daawooyinka anti-bararka ee nonsteroidal ama NSAIDs sida ibuprofen ama naproxen.
  • Daawooyinka NSAIDs waa la qori karaa haddii loo baahdo.
  • NSAID-yada waxaa loo isticmaalaa xanuunka neurogenic ee joogtada ah waana in la isticmaalo kaliya marka loo baahdo.
  • Isticmaalka muddada dheer ee NSAIDs-yada waxay kordhin kartaa halista boogaha caloosha, iyo isticmaalka xad-dhaafka ah ee acetaminophen waxay u horseedi kartaa sunta beerka iyo beerka oo shaqadiisa gabay.

Qalliinka

Haddii daawaynta muxaafidka ahi aanay awoodin inay bixiso gargaar wax ku ool ah iyo dhaqdhaqaaqa iyo / ama tayada nolosha ayaa la saameeyaa, qalliinka loo yaqaan laminectomy ayaa lagu talinayaa in lagu yareeyo laf-dhabarka lumbar. Habka waa la samayn karaa:

  • Laparoscopically - oo leh jeexyo yaryar, goobo, iyo qalab qalliin.
  • Qalliin furan - oo leh maqaar iyo tolmo.
  • Inta lagu jiro nidaamka, wejiyada laf dhabarta ayaa qayb ahaan ama gebi ahaanba la saaraa.
  • Si loo helo xasillooni, lafaha mararka qaarkood waxaa lagu daraa boolal, taargooyin, ama ulo.
  • Heerarka guusha labaduba waa isku mid ama ka yar.
  • Inta u dhaxaysa 85% iyo 90% ee shakhsiyaadka ku jira qalliinka waxay gaadhaan xanuun-joojin waqti-dheer iyo/ama joogto ah. (Xin-Long Ma iyo al., 2017)

Daawada Dhaqdhaqaaqa: Daryeelka lafdhabarta


tixraacyada

Ammendolia C. (2014). Laf-dhabarta laf-dhabarka ee laf-dhabarta ee lumbar-ka-baxa iyo is-barbar-dhigga: saddex daraasadood. Joornaalka Ururka Canadian Chiropractic Association, 58(3), 312-319.

Munakomi S, Foris LA, Varacallo M. (2024). Laf-dhabarta Stenosis iyo Claudication Neurogenic. [La cusbooneysiiyay 2023 Agoosto 13]. Gudaha: StatPearls [Internet]. Treasure Island (FL): Daabacaada StatPearls; 2024 Jan-. Waxaa laga heli karaa: www.ncbi.nlm.nih.gov/books/NBK430872/

Ma, XL, Zhao, XW, Ma, JX, Li, F., Wang, Y., & Lu, B. (2017). Waxtarka qalliinka iyo daawaynta muxaafidka ah ee laf-dhabarka laf-dhabarka: Dib-u-eegis nidaam iyo falanqayn-meta-falanqaynta tijaabooyinka la kantaroolay ee la kala soocay. Joornaalka Caalamiga ah ee qaliinka (London, England), 44, 329-338. doi.org/10.1016/j.ijsu.2017.07.032